MARK B FULLERTON
NPI 1659550085
Chiropractor in Woodruff, SC

Active since November 02, 2007
109 S MAIN ST, WOODRUFF, SC 29388(864) 476-2200(864) 476-0757 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark B Fullerton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK B FULLERTON (NPI 1659550085) is a healthcare organization registered as a chiropractor in Woodruff, South Carolina and active in the NPI registry since November 2007. The organization lists Mark B Fullerton, Owner, as its authorized official.

NPPES Registry Identity

NPI1659550085
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMARK B FULLERTON
Location Address109 S MAIN STWoodruff, SC 29388-1849
Mailing Address109 S Main StWoodruff, SC 29388-1849 · (864) 476-2200 · Fax (864) 476-0757
Fax(864) 476-0757
Organization SubpartNo
Authorized OfficialMark B FullertonOwner · (864) 476-2200
Enumeration DateNovember 2, 2007
Last NPPES UpdateNovember 21, 2007
NPI 1659550085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · 1130
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
109 S MAIN ST, Woodruff, SC 29388

Other Identifiers 1

MedicaidCH1130SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
109 S MAIN ST
WOODRUFF, SC 29388
Massage Therapist
109 S MAIN ST
WOODRUFF, SC 29388
Chiropractor
109 S MAIN ST
WOODRUFF, SC 29388
Counselor (Professional)
109 S MAIN ST
WOODRUFF, SC 29388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark B Fullerton's NPI number?

The NPI number for Mark B Fullerton is 1659550085. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Mark B Fullerton located?

Mark B Fullerton is located at 109 S Main St, Woodruff, SC 29388. The listed phone number is (864) 476-2200.

What is Mark B Fullerton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mark B Fullerton was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.